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PHILLIP JOHNSON
NPI 1992430201
Peer Specialist in Portland, OR

Active since July 20, 2022
10615 SE CHERRY BLOSSOM DR STE 250, PORTLAND, OR 97216(971) 373-4041 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2025, Mar 24, 2023, Jul 20, 2022 (3 updates tracked since 2022).

About Phillip Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP JOHNSON (NPI 1992430201) is an individual peer specialist in Portland, Oregon and active in the NPI registry since July 2022. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1992430201
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NamePHILLIP JOHNSON
Location Address10615 SE CHERRY BLOSSOM DR STE 250Portland, OR 97216-3103
Mailing Address8383 Ne Sandy Blvd Ste 440Portland, OR 97220-4986 · (971) 373-4041 · Fax (971) 373-5285
Phone(971) 373-4041
Sole ProprietorNo
Enumeration DateJuly 20, 2022
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1992430201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
10615 SE CHERRY BLOSSOM DR STE 250, Portland, OR 97216
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Secondary Practice Location 1

Location 18383 NE Sandy Blvd Ste 110BPortland, OR 97220-4967 · Phone (971) 373-4041 · Fax (971) 373-5285

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YVONNE CAMPOS
Counselor (Mental Health)
10615 SE CHERRY BLOSSOM DR STE 250
PORTLAND, OR 97216
Multnomah County (971) 373-4041
ALYSSA JANE OLSON
Peer Specialist
10615 SE CHERRY BLOSSOM DR STE 250
PORTLAND, OR 97216
Multnomah County (971) 373-4085
GEENIE YOURSHAW
Social Worker (Clinical)
10615 SE CHERRY BLOSSOM DR STE 250
PORTLAND, OR 97216
Multnomah County (971) 373-4041
FLORENCE NZANIYE OMARI QMHA
Counselor (Mental Health)
10615 SE CHERRY BLOSSOM DR STE 250
PORTLAND, OR 97216
Multnomah County (971) 373-4041
FAYANNA JOHNSON LCSW
Social Worker (Clinical)
10615 SE CHERRY BLOSSOM DR STE 250
PORTLAND, OR 97216
Multnomah County (971) 373-4041
KRISTY WELLS-OWENS
Social Worker (Clinical)
10615 SE CHERRY BLOSSOM DR STE 250
PORTLAND, OR 97216
Multnomah County (971) 373-4041
TAYLOR SARA-HENAE BABB
Student in an Organized Health Care Education/Training Program
10615 SE CHERRY BLOSSOM DR STE 250
PORTLAND, OR 97216
Multnomah County (971) 373-4041
AQUEELAH PEREZ
Peer Specialist
10615 SE CHERRY BLOSSOM DR STE 250
PORTLAND, OR 97216
Multnomah County (971) 373-4041

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Johnson's NPI number?

The NPI number for Phillip Johnson is 1992430201. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Phillip Johnson located?

Phillip Johnson practices at 10615 SE Cherry Blossom Dr Ste 250, Portland, OR 97216. The listed phone number is (971) 373-4041.

What is Phillip Johnson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Phillip Johnson was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.